Self-efficacy, intention, and attitude toward human papillomavirus vaccination among urban females in indonesia: a cross-sectional study
Downloads
Introduction: Women's choice to undergo vaccination against the Human Papillomavirus (HPV) is shaped by a multitude of factors. This study seeks to investigate the differences of intentions and attitudes toward the HPV vaccine and its effect size among women categorized into three groups based on their level of self-efficacy.
Methods: As many as 441 respondents were selected using the consecutive sampling method. The samples were divided into three groups based on their level of self-efficacy (low, medium, and high). The research employed a cross-sectional design from 13 May to 15 June 2023 in the working area of Public Health Centers located in Jakarta by implementing individual home visits. The research instruments comprised the Self-Efficacy Scale for HPV vaccination, the Intentions to Receive the HPV Vaccine Questionnaire, and the Attitude of HPV, Cervical Cancer, and Vaccine HPV Questionnaire; all were declared valid and reliable. The Kruskal-Wallis Test, the Tukey HSD Post Hoc Test, and the Epsilon Squared Test were performed to examine intention and attitude based on the type of self-efficacy and the effect size found.
Results: Significant differences were observed in intention (p<0.001) and attitude (p<0.001) among the three self-efficacy groups, demonstrating relatively robust effect sizes (attitude: ε2=0.109, p<0.001; intention: ε2=0.159, p<0.001).
Conclusions:The research demonstrated discernible discrepancies in intention and attitude across the three sample groups distinguished by their self-efficacy levels. It is advisable to design interventions focusing on health promotion that highlight the diverse needs and characteristics of different groups of women.
Alene, T. et al. (2020) ‘Acceptance of human papillomavirus vaccination and associated factors among parents of daughters in gondar town, northwest Ethiopia’, Cancer Management and Research, 12, pp. 8519–8526. doi: 10.2147/CMAR.S275038.
Arbyn, M. et al. (2020) ‘Estimates of incidence and mortality of cervical cancer in 2018: a worldwide analysis’, The Lancet Global Health, 8(2), pp. e191–e203. doi: 10.1016/S2214-109X(19)30482-6.
Balogun, F. M. and Omotade, O. O. (2022) ‘Parental intention to vaccinate adolescents with HPV vaccine in selected communities in Ibadan, Southwest Nigeria: an application of Integrated Behavioral Model’, Human Vaccines and Immunotherapeutics, 18(5). doi: 10.1080/21645515.2022.2069959.
Bruni, L. et al. (2021) ‘HPV vaccination introduction worldwide and WHO and UNICEF estimates of national HPV immunization coverage 2010–2019’, Preventive Medicine, 144. doi: 10.1016/j.ypmed.2020.106399.
Chanprasertpinyo, W. and Rerkswattavorn, C. (2020) ‘Human papillomavirus (HPV) vaccine status and knowledge of students at a university in rural Thailand’, Heliyon, 6(8). doi: 10.1016/j.heliyon.2020.e04625.
Christy, S. M., Winger, J. G. and Mosher, C. E. (2019) ‘Does Self-Efficacy Mediate the Relationships Between Social-Cognitive Factors and Intentions to Receive HPV Vaccination Among Young Women?’, Clinical Nursing Research, 28(6), pp. 708–725. doi: 10.1177/1054773817741590.
Dereje, N. et al. (2021) ‘Knowledge and acceptance of HPV vaccination and its associated factors among parents of daughters in Addis Ababa, Ethiopia: a community-based cross-sectional study’, Infectious Agents and Cancer, 16(1). doi: 10.1186/s13027-021-00399-8.
Elgzar, W. T. et al. (2022) ‘Intention and self-efficacy for pap smear screening and Human Papilloma Virus vaccination among Saudi women at Najran city, KSA’, African Journal of Reproductive Health, 26(7s), pp. 61–73. doi: 10.29063/ajrh2022/v26i7s.7.
Frianto, D. et al. (2022) ‘Parental Acceptance of Human Papillomavirus (HPV) Vaccination in Districts with High Prevalence of Cervical Cancer in West Java, Indonesia’, Patient Preference and Adherence, 16, pp. 2709–2720. doi: 10.2147/PPA.S365901.
Kim, H. W. et al. (2022) ‘Knowledge, attitudes, and perceptions associated with HPV vaccination among female Korean and Chinese university students’, BMC Women’s Health, 22(1). doi: 10.1186/s12905-022-01624-1.
Lam, E. W. H. et al. (2023) ‘Awareness, perceptions, and acceptance of human papillomavirus vaccination among parents in Hong Kong.’, Hong Kong medical journal = Xianggang yi xue za zhi. doi: 10.12809/hkmj2210470.
Lee, M. (2022) ‘The Role of Knowledge and Self-Efficacy in Behavioral Intention to Prevent Cervical Cancer among Female College Students’, International Journal of Advanced Culture Technology, 10(1), pp. 144–153. doi: 10.17703/IJACT.2022.10.1.144.
Lismidiati, W. et al. (2022) ‘Self-Efficacy to Obtain Human Papillomavirus Vaccination among Indonesian Adolescent Girls’, Asian Pacific Journal of Cancer Prevention, 23(3), pp. 789–794. doi: 10.31557/APJCP.2022.23.3.789.
López, N. et al. (2022) ‘Factors influencing HPV knowledge and vaccine acceptability in parents of adolescent children: results from a survey-based study (KAPPAS study)’, Human Vaccines and Immunotherapeutics, 18(1). doi: 10.1080/21645515.2021.2024065.
Ministry of Health of Republic of Indonesia (2022) National Cervical Cancer Elimination Plan for Indonesia 2023-2030. Available at: https://www.kemkes.go.id/eng/national-cervical-cancer-elimination-plan-for-indonesia-2023-2030 (Accessed: 9 March 2024).
Mohammed, H. M. E. et al. (2022) ‘Knowledge and Attitudes of Nursing Students toward Human Papilloma Virus Vaccination’, Journal of Nursing Science-Benha University, 3(1), pp. 51–63. doi: 10.21608/JNSBU.2022.212751.
Myhre, A. et al. (2020) ‘Associations between risk-perception, self-efficacy and vaccine response-efficacy and parent/guardian decision-making regarding adolescent HPV vaccination’, Papillomavirus Research, 10(100204), pp. 1–6. doi: 10.1016/j.pvr.2020.100204.
Okunade, K. S. (2020) ‘Human papillomavirus and cervical cancer’, Journal of Obstetrics and Gynaecology, 40(5), pp. 602–608. doi: 10.1080/01443615.2019.1634030.
Osaghae, I. et al. (2022) ‘HPV Vaccination Training of Healthcare Providers and Perceived Self-Efficacy in HPV Vaccine-Hesitancy Counseling’, Vaccines, 10(12). doi: 10.3390/vaccines10122025.
Pangribowo, S. (2019) ‘Beban Kanker di Indonesia’, Pusat Data Dan Informasi Kesehatan Kementerian Kesehatan RI, pp. 1–16.
Patrick, L. et al. (2022) ‘Encouraging improvement in HPV vaccination coverage among adolescent girls in Kampala, Uganda’, PLoS ONE, 17(6 June). doi: 10.1371/journal.pone.0269655.
Polonijo, A. N., Mahapatra, D. and Brown, B. (2022) ‘“I Thought It Was Just For Teenagers”: Knowledge, Attitudes, and Beliefs about HPV Vaccination Among Women Aged 27 to 45’, Women’s Health Issues, 32(3), pp. 301–308. doi: 10.1016/j.whi.2022.01.007.
Rabiu, K. et al. (2020) ‘Parental acceptance of human papillomavirus vaccination for adolescent girls in Lagos, Nigeria’, Journal of Family Medicine and Primary Care, 9(6), p. 2950. doi: 10.4103/jfmpc.jfmpc_102_20.
Samaria, D. (2022) ‘Edukasi kesehatan tentang deteksi dini kanker serviks di Desa Cibadung, Gunung Sindur, Bogor’, Jurnal Kreativitas Pengabdian Kepada Masyarakat, 5(7), pp. 2243–2258. doi: 10.33024/jkpm.v5i7.6318.
Samaria, D. et al. (2023) ‘Edukasi Kesehatan Vaksinasi Human Papilloma Virus untuk Mencegah Kanker Serviks pada Siswi di Jakarta Timur’, Jurnal Kreativitas Pengabdian Kepada Masyarakat (PKM), 6(7), pp. 2916–2930. doi: 10.33024/jkpm.v6i7.10105.
Setia, M. S. (2016) ‘Methodology Series Module 5: Sampling Strategies’, Indian Journal of Dermatology, 61(5), pp. 505–509. doi: 10.4103/0019-5154.190118.
Sinshaw, M. T., Berhe, S. and Ayele, S. G. (2022) ‘Knowledge and Attitude Towards Human Papillomavirus Vaccine and Associated Factors Among Mothers Who Have Eligible Daughters in Debre Markos Town, Northwest Ethiopia’, Infection and Drug Resistance, 15, pp. 781–793. doi: 10.2147/IDR.S352440.
Sitaresmi, M. N. et al. (2020) ‘Improvement of Parent’s awareness, knowledge, perception, and acceptability of human papillomavirus vaccination after a structured-educational intervention’, BMC Public Health, 20(1). doi: 10.1186/s12889-020-09962-1.
Stelzle, D. et al. (2021) ‘Estimates of the global burden of cervical cancer associated with HIV’, The Lancet Global Health, 9(2), pp. e161–e169. doi: 10.1016/S2214-109X(20)30459-9.
Stout, M. E. et al. (2020) ‘Self-efficacy and HPV Vaccine Attitudes Mediate the Relationship Between Social Norms and Intentions to Receive the HPV Vaccine Among College Students’, Journal of Community Health, 45(6), pp. 1187–1195. doi: 10.1007/s10900-020-00837-5.
Thompson, E. L. et al. (2018) ‘Human papillomavirus vaccine information, motivation, and behavioral skills among young adult US women’, Journal of Health Psychology, 23(14), pp. 1832–1841. doi: 10.1177/1359105316672924.
Vu, M. et al. (2018) ‘Cervical cancer worldwide’, Current Problems in Cancer, 42(5), pp. 457–465. doi: 10.1016/j.currproblcancer.2018.06.003.
Winarto, H. et al. (2022) ‘Knowledge, attitudes, and practices among Indonesian urban communities regarding HPV infection, cervical cancer, and HPV vaccination’, PLoS ONE, 17(5 May), pp. 1–29. doi: 10.1371/journal.pone.0266139.
World Health Organization (2024) Cervical cancer. Available at: https://www.who.int/news-room/fact-sheets/detail/cervical-cancer (Accessed: 9 March 2024).
Zhang, L. et al. (2023) ‘Sociocultural–psychological predictors influencing parents’ decision-making regarding HPV vaccination for their adolescent daughters in mainland China: An extended TPB model’, Frontiers in Public Health, 10(1035658), pp. 1–14.
Copyright (c) 2024 Jurnal Ners
This work is licensed under a Creative Commons Attribution 4.0 International License.
Authors who publish with Jurnal Ners agree to the following terms:
- Authors transfer the Copyright and grant Jurnal Ners the right of first publication with the work simultaneously licensed under a Creative Commons Attribution 4.0 International License that allows others to remix, adapt and build upon the work with an acknowledgment of the work's authorship and of the initial publication in Jurnal Ners.
- Authors are permitted to copy and redistribute the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgment of its initial publication in Jurnal Ners.
Jurnal Ners requires a formal written declaration and transfer of copyright from the author(s) for each article published. We, therefore, ask you to complete and return this form, retaining a copy for your own records. Your cooperation is essential and appreciated. Any delay will result in a delay in publication. The form can be downloaded HERE.
